Session 2 epocrates essentials thursday july 13 2006
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Palm Telemedicine Seminar Series. Session 2: Epocrates Essentials Thursday July 13, 2006. Diane Cunningham Palm user since 1996 Designed and developed "Computer Training for Physicians" course – taught since 1995 and the "Physicians Palm Workshop" series.

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Session 2 epocrates essentials thursday july 13 2006

Palm Telemedicine

Seminar Series

Session 2: Epocrates Essentials

Thursday July 13, 2006


Introduction

Diane Cunningham

Palm user since 1996

Designed and developed "Computer Training for Physicians" course – taught since 1995 and the "Physicians Palm Workshop" series

Present Seminars, Presentation and Technology Workshops for:

The American College of Surgeons (ACS)

CME Inc.

Congress of Neurological Surgeons (CNS)

Sierra Health Group Las Vegas

UCSD Topics and Advances in Internal Medicine Conference

California Society of Addiction Medicine (CSAM)

Kaiser Permanente

St. Joseph Heritage Health Foundation

Introduction


Session 2 agenda
Session 2 Agenda

  • Getting Epocrates

    • Sign up for an Epocrates Account

    • Download Epocrates Essentials

    • Install Epocrates Essentials

  • Using Epocrates

    • Epocrates Essentials Tour

      • RX Pro

      • SX/DX

      • Labs

  • Epocrates MedTools



Epocrates website
Epocrates website

  • Point Browser to www.epocrates.com















Install epocrates essentials

Install Epocrates Essentials

Check Available Memory

Install!


Check available memory

Click the Home button to get to the All Applications View

Click the Menu Button on the Status Bar

Check Available Memory


Check available memory1

Click Info

Check Available Memory


Check available memory2

My Palm has 85.5 M free

Check Available Memory



Memory card1

My card has 326.7 M free

Click Done

Memory Card


Ready to install

Navigate to your computer’s desktop

Double click on the Epocrates program icon you downloaded

Ready to install!






Sync more than 1 palm
Sync More than 1 Palm?

  • If you sync more than one Palm on the same PC, this dialog box will appear

    • Click on your username

    • Click Ok


Setup
Setup

  • Enter

    • Username

    • Password

    • Click Ok














Palm will reboot

Then…

Epocrates is installed!

Palm Will Reboot


Epocrates essentials tour

EPocrates Essentials Tour

RX Pro

SX/DX

Labs

MedTools


Launch epocrates

Click the Home button to get to the All Applications View

Click the Epocrates icon

Launch Epocrates










Adding medtools
Adding MedTools

  • You need to have the most recent version of Epocrates Rx free drug reference, Epocrates Rx Pro premium drug reference or Epocrates Essentials all-in-one reference to install Epocrates MedTools applications

    • Please see each individual MedTools page for memory requirements and compatibility

  • Once installed, MedTools applications are conveniently located under the 'black bag' tab in the Epocrates application


Available medtools
Available MedTools

  • BMI & Obesity

  • Bone Health

  • Drip Rate

  • Essentials for Cardiology

  • Epocrates Essentials Tutorial

  • GFR Calculator

  • HTN QuickRef

  • Insulin Calc

  • *Cancer Staging

  • Depression Assessment

  • StatCholesterol

  • Temperature Conversion

*Requires a separate download



Bmi obesity

BMI & Obesity is an in-depth weight management tool developed to assist physicians in the diagnosis and treatment of obesity

The tool features a BMI calculator that quickly gives accurate results in a few seconds

It also displays indications for

pharmacotherapy and bariatric surgery

weight loss guidelines

a Basal Energy Expenditure Calculator using the Harris-Benedict Equation

and other useful information

BMI & Obesity


Bone health assessment tool

Central bone mineral density (BMD) testing remains the "gold standard" for identifying those at risk of osteoporosis.

The Bone Health Assessment Tool helps health care professionals interpret BMD T-scores, offers recommendations for treatment initiation, and identifies risk factors for postmenopausal osteoporosis

Bone Health Assessment Tool


Drip rate

This time saving tool assists the healthcare professional by calculating weight-based IV infusion rates.

The Drip Rate allows you to enter:

Patient weight (in either pounds or kg)

Amount of drug

Total volume of solution

Drug dosing units

Drip Rate


Cardiomath
CardioMath calculating weight-based IV infusion rates.

  • CardioMath is a cardiology calculator with over 50 commonly used formulas in cardiovascular medicine. It is designed to assist physicians, nurses, pharmacists, technologists, technicians, and other allied health professionals in the field of cardiovascular medicine to perform essential day-to-day calculations accurately and efficiently. These formulas are also commonly used by medical professionals involved in intensive and emergency care, internal medicine, and rehabilitation.


Cardiomath1
CardioMath calculating weight-based IV infusion rates.

Features include:

  • Formulas arranged in major categories

  • Comprehensive (more than 50 commonly used formulas); includes valve area calculators, Duke Treadmill Score, Creatinine Clearance (Cockroft-Gault), Echo formulas, etc.

  • Global selection of SI or US units

  • Information screens contain a short description of the clinical utility for each formula and value ranges provided when appropriate

  • References are provided for each formula


Cardiomath2
CardioMath calculating weight-based IV infusion rates.

CardioMath was developed by Chi-Ming Chow, MD.

  •  CardioMath covers the following major areas:

    • Echocardiography

    • EKG

    • Epidemiology

    • Exercise Stress Test

    • General Medicine

    • Hemodynamics

    • Unit Conversion (SI and US)


Epocrates essentials tutorial
Epocrates Essentials Tutorial calculating weight-based IV infusion rates.


Epocrates essentials tutorial1
Epocrates Essentials Tutorial calculating weight-based IV infusion rates.

The Epocrates Essentials tutorial is a quick hands-on guide that will help you get the most out of your Epocrates mobile clinical references. The tutorial is divided into five sections:

  • Getting Started:

    • Describes icons, navigation, and common look-up features of Epocrates references.

  • Epocrates Rx:

    • Demonstrates the features and functionality of our free drug reference.

  • Epocrates Rx Pro:

    • Highlights the additional features and benefits of our premium drug reference, including our new IV compatibility checker.

  • Epocrates SxDx:

    • Explains key features of our integrated disease reference and symptom assessment tool.

  • Epocrates Lab:

    • Provides an overview of diagnostic content features and user tips.


Gfr calculator
GFR Calculator calculating weight-based IV infusion rates.

  • This tool gives you the ability to instantly calculate the predicted GFR of a patient by selecting the method and then entering an individual’s factors


Gfr calculator1
GFR Calculator calculating weight-based IV infusion rates.

  • The GFR calculator provides you with three equations to choose from:

    • Cockcroft-Gault

      • Estimates creatinine clearance based upon a patient’s serum creatinine, age, weight, and sex

    • Modification of Diet in Renal Disease (MDRD)

      • Estimates creatinine clearance based upon a patient’s age, sex, gender, height, serum creatinine, serum BUN, and serum albumin

    • Abbreviated MDRD

      • A simplified version of the MDRD that uses only three variables: serum creatinine, age, and gender


Htn quickref

Resources available with HTN QuickRef include: calculating weight-based IV infusion rates.

JNC 7

Treatment Algorithm

Framingham Risk Calculator

JNC 7

Diagnostic Workup of Hypertension

ICD-9-CM Coding

HTN QuickRef


Htn quickref1
HTN QuickRef calculating weight-based IV infusion rates.

  • This resource provides diagnostic and treatment guidelines for use in managing patients with hypertension

    • It provides simple data analysis and succinct reference information

  • Based on the JNC 7 report, this tool provides practical clinical applications and hands-on management for your patients with hypertension


Insulin calc
Insulin Calc calculating weight-based IV infusion rates.

  • Insulin Calc will aid you in determining a patient's insulin basal rate and also calculate the required bolus dose based upon the patient weight or the patient's Total Daily Dose of required insulin


Insulin calc1
Insulin Calc calculating weight-based IV infusion rates.

  • Also included in this tool is an algorithm for:

    • Simple titration of NovoLog® Mix 70/30

    • American Diabetes Association treatment goals

    • A table that shows the correlation between

      • A1C and blood glucose (serum) levels


Cancer staging

The National Cancer Institute (NCI) Tumor Staging Application allows you to quickly and easily access tumor staging information for a particular cancer, either alphabetically or by body location/system.

Most cancers are classified based upon the primary tumor (T), regional lymph node involvement (N), and distant metastasis (M). The American Joint Committee on Cancer (AJCC) has designated staging based upon this scheme, which describes how far the cancer has spread from the original site to other parts of the body. Cancer staging is important for the identification of appropriate treatment options for a particular cancer and individual.

*Cancer Staging

*Separate download: http://www.epocrates.com/products/medtools/ncistagingreference.html


Depression assessment

The PHQ-9™ is a validated 9-item, patient self-report depression assessment specifically developed for use in primary care. The PHQ-9 has demonstrated usefulness as an assessment tool for the diagnosis of depression in primary care with acceptable reliability, validity, sensitivity, and specificity. The nine items of the PHQ-9 come directly from the nine DSM-IV signs and symptoms of major depression. Patients should not be diagnosed solely on the basis of a PHQ-9 score. The clinician should corroborate the score with clinical determination that a significant depressive syndrome is present.

After making a provisional diagnosis with the PHQ-9, there are additional clinical considerations that may affect decisions about management and treatment.

Depression Assessment


Statcholesterol
StatCholesterol depression assessment specifically developed for use in primary care. The PHQ-9 has demonstrated usefulness as an assessment tool for the diagnosis of depression in primary care with acceptable reliability, validity, sensitivity, and specificity. The nine items of the PHQ-9 come directly from the nine DSM-IV signs and symptoms of major depression. Patients should not be diagnosed solely on the basis of a PHQ-9 score. The clinician should corroborate the score with clinical determination that a significant depressive syndrome is present.

This newly updated application guides the healthcare professional through the ATP III cholesterol guidelines and assists the clinician in the calculation of coronary heart disease

  • This version includes:

    • Classification of lipid levels and new guidelines for patients at higher-risk

    • Coronary Heart Disease Risk Calculation

    • Recommendations for lifestyle modifications

    • Drug therapy recommendations for lipid lowering

    • Recommendations for C-reactive protein monitoring

  • LIPITOR is indicated to reduce the risk of myocardial infarction, revascularization procedures, angina, and stroke in adult patients with multiple risk factors but without clinically evident CHD; to reduce the risk of myocardial infarction and stroke in patients with type 2 diabetes and without clinically evident CHD, but with multiple risk factors; as an adjunct to diet to reduce elevated total-C, LDL-C, apo B, and TG levels; and to increase HDL-C in patients with primary hypercholesterolemia (heterozygous familial and nonfamilial) and mixed dyslipidemia.


Statcholesterol1
StatCholesterol depression assessment specifically developed for use in primary care. The PHQ-9 has demonstrated usefulness as an assessment tool for the diagnosis of depression in primary care with acceptable reliability, validity, sensitivity, and specificity. The nine items of the PHQ-9 come directly from the nine DSM-IV signs and symptoms of major depression. Patients should not be diagnosed solely on the basis of a PHQ-9 score. The clinician should corroborate the score with clinical determination that a significant depressive syndrome is present.

  • LIPITOR is contraindicated in patients with active liver disease or unexplained persistent elevations of serum transaminases; in women who are or may become pregnant or who are nursing; in patients with hypersensitivity to any component of this medication.

  • Rare cases of rhabdomyolysis have been reported with LIPITOR and other statins. With any statin, tell patients to promptly report muscle pain, tenderness, or weakness. Discontinue drug if myopathy is suspected, if creatine phosphokinase (CPK) levels rise markedly, or if the patient has risk factors for rhabdomyolysis.

  • Due to increased risk of myopathy seen with LIPITOR and other statins, physicians should carefully consider combined therapy with fibric acid derivatives, erythromycin, immunosuppressive drugs, azole antifungals, or niacin and carefully monitor patients for signs or symptoms of myopathy early during therapy and when titrating dose of either drug.

  • It is recommended that liver function tests be performed prior to and 12 weeks following both the initiation of therapy and any elevation of dose, and periodically thereafter. If ALT or AST values >3 x ULN persist, dose reduction or withdrawal is recommended.

  • In clinical trials, the most common adverse events were constipation, flatulence, dyspepsia, and abdominal pain.


Temperature conversion
Temperature Conversion depression assessment specifically developed for use in primary care. The PHQ-9 has demonstrated usefulness as an assessment tool for the diagnosis of depression in primary care with acceptable reliability, validity, sensitivity, and specificity. The nine items of the PHQ-9 come directly from the nine DSM-IV signs and symptoms of major depression. Patients should not be diagnosed solely on the basis of a PHQ-9 score. The clinician should corroborate the score with clinical determination that a significant depressive syndrome is present.

The Temperature Converter allows the user to quickly and easily convert between Celsius and Fahrenheit

  • To simplify use, two separate programs are included:

    • From Celsius to Fahrenheit

    • From Fahrenheit to Celsius


Deleting medtools
Deleting MedTools depression assessment specifically developed for use in primary care. The PHQ-9 has demonstrated usefulness as an assessment tool for the diagnosis of depression in primary care with acceptable reliability, validity, sensitivity, and specificity. The nine items of the PHQ-9 come directly from the nine DSM-IV signs and symptoms of major depression. Patients should not be diagnosed solely on the basis of a PHQ-9 score. The clinician should corroborate the score with clinical determination that a significant depressive syndrome is present.

  • Open your Epocrates application

  • Tap on the MedTools tab (black bag)

  • Palm OS

    • Tap the blue 'e' in the upper left corner

    • Tap "App" and then "Delete MTA"

  • Select the MedTools applications you wish to delete (by tapping on them), and then tap "Delete"

  • Tap "Done"


Any questions
Any Questions? depression assessment specifically developed for use in primary care. The PHQ-9 has demonstrated usefulness as an assessment tool for the diagnosis of depression in primary care with acceptable reliability, validity, sensitivity, and specificity. The nine items of the PHQ-9 come directly from the nine DSM-IV signs and symptoms of major depression. Patients should not be diagnosed solely on the basis of a PHQ-9 score. The clinician should corroborate the score with clinical determination that a significant depressive syndrome is present.


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